Enterococci nyob rau hauv ib tug smear. Peb yuav tsum tau ntshai?

Endurance thiab kuj ... Zoo zoo. Yog hais tias peb yuav tsis tham txog pathogens. Thiab nws yog xws li Enterococci, thiab nws tsis pub peb mus so kom txaus nyob rau hauv qhov kev sib ntaus nrog lawv. Qhov no yeeb ncuab yog tej zaum nyuaj heev los defeat. Tab sis - tej zaum cov txuj ci koj yuav nrhiav tau nyob rau hauv no tsab xov xwm.

Yuav ua li cas yog Enterococci nyob rau hauv ib tug smear? Qhov tsom xam qhia tau hais tias saw, uas yuav mus rau cov pathogens. Lawv nrhiav tau los ntawm ib co mus ua enzymes, thiab yog hais tias tus kuaj tshuaj nyob rau hauv lawv cov ntshav.

Ib tug cais mob taub hau kws kho mob - uas Enterococcus "neej" nyob rau hauv cov tsev kho mob thiab muaj ua ib tug multi-resistant mus rau ntau yam tshuaj tua kab mob, uas ua rau lub sib ntaus tawm tsam nws yuav tsis yooj yim. Tom qab tag nrho, Enterococci muaj kev tswj kom hloov mus rau yuav luag tag nrho cov hom ntawm tshuaj tua kab mob mus rau ib tug ntau dua los yog tsawg raws li. Tshiab tshuaj tua kab mob (linezolid, piv txwv li) kom txog thaum lawv muaj peev xwm nrog Enterococci, tab sis tej zaum nyob rau hauv kev kho mob txhua hnub muaj xov xwm hais txog cov kuj ntawm cov pathogens mus rau qhov tseeb tshuaj tua kab mob. Yog li ntawd tus tawm tsam tseem. Zoo, lub cev, thiab nws muaj peev xwm mus tua tau zoo, thiab cov tshuaj no yog ib tug zoo kws kho mob khoom raws li ib tug adjuvant.

Qhov twg nyob rau hauv lub cev khom pathogens? Feem ntau cov feem ntau Enterococci kuaj nyob rau hauv cov zis. Txawm li cas los, tej zaum nws yuav muaj feem xyuam rau lub internal plhaub ntawm lub plawv, lawv yuav tsum tau raug tus kab mob wounds, cov kab mob khom nyob ib ncig ntawm lub catheter, uas yog tswvcuab rau tus neeg mob ri. Tej zaum cov pathogens txeem mus rau hauv cov kab noj hniav, thiab muab nyob rau hauv cov ntshav (hu ua mob). Nws tshwm sim hais tias cov kab mob txhais meningitis, pleural tej qhov chaw.

Enterococci yog feem ntau cia li khom nyob rau hauv cov hnyuv tsis tas yuav ua tej kev soj ntsuam kom paub txog kab mob. Txawm li cas los, koj yuav tsum tau kom tus txheej txheem no nyob rau hauv kev tswj, vim hais tias feem ntau ntawm cov neeg uas ua mob raws li ib tug tshwm sim, twb muaj Enterococci nyob hauv lawv cov hnyuv rau qhov pib ntawm tus kab mob. Yog li ntawd Enterococci nyob rau hauv ib tug smear los ntawm lub qhov quav - ib tug yog vim li cas yuav tau noj cov kev txiav txim.

Tshwj xeeb tshaj yog txaus ntshai kab mob no rau cov neeg cov neeg mob uas raug kev txom nyem los ntawm loj thiab ntev (tshwj xeeb tshaj yog rau cov neeg uas muaj ntev kawm ntawm tshuaj tua kab mob), tej kev phais rau hloov hloov thiab cov neeg mob oncological cov kab mob ntawm cov ntshav. Nws tseem yog heev txaus ntshai Enterococci rau kev kho mob cov tub txawg. Risk ntawm kev cog lus rau cov neeg uas haus dej haus corticosteroids thiab tau txais parenteral kev noj haus.

Txawm li cas los, yog hais tias nws tsis yog ib tug plab, tab sis lub tsev me nyuam kwj dej, nws yog tsis txaus ntshai yog hais tias tus kab mob nyob me ntsis. Enterococci nyob rau hauv ib tug smear kev kho mob yuav ib tug yooj yim, yog hais tias tus kws kho mob ntseeg hais tias tus neeg mob yuav tsum tau kev kho mob ntawm tag nrho cov. Raws li ib tug txoj cai, Enterococci nyob rau hauv lub qhov chaw mos - ib feem ntawm lub cev muaj, yog li tsis txhob ntshai thiab txhawj.

Enterococci nyob rau hauv ib tug smear yog txaus ntshai xwb yog hais tias tus kua ntswg npaum li cas los ntawm lub qhov zis. Tsis tas li ntawd, cov teeb meem no yog phem, yog hais tias cov pathogens yog pom nyob rau hauv cov ntshav, tej zaum nws yuav txhais tau hais tias lawv tau kis thoob plaws lub cev. Heev tsis tshua, tab sis lawv tseem pom nyob rau hauv lub hlwb txha nqaj qaum kua, tab sis feem ntau yog nws yuav tshwm sim nyob rau hauv lub keeb kwm yav dhau meningitis (ib tug tsis ntau cov ntaub ntawv). Ntes Enterococci thiab kua paug los ntawm cov nqaij mos mos.

Tej kab mob yog kho nrog tshuaj tua kab mob nrog cov tshiab (streptogramin, teicoplanin, oritavancin). Nyob rau hauv kev, xws li ib tug "hnyav artillery" yuav siv tau tsuas yog thaum lub xub ntiag ntawm Enterococci yog muaj pov thawj raws nraim qhov twg lawv yog txaus ntshai (qhov chaw mos thiab lub ncauj tsev menyuam tsis suav). Ib tug tshiab tiam ntawm tshuaj tua kab mob yog powerless tiv thaiv kab mob, li ntawd, cia li nyob rau hauv inflammatory dab lawv tsis kho, tsim nyog kuaj pov thawj ntawm nws Enterococci.

Yog hais tias koj tsis quav ntsej txog tej kev mob thiab tsis xis nyob rau hauv lub mob txeeb zig, thiab tam sim ntawd nrog koj tus kws kho mob, koj yuav tsum tsis txhob xws txaus ntshai txim ntawm enterococcal kab mob xws li endocarditis thiab meningitis. Cia li tsis nco qab txog koj tus kheej, koj lub cev yuav tsum saib xyuas.